Organization
ADVANCED MYOREHAB PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELICIA HELENE MULLANE CTPT, MSPT (OWNER)
(716) 213-7201
Entity
Organization
Contact information
Practice address
3842 MAIN ST, STRYKERSVILLE, NY 14145-9563
(716) 213-7201
Mailing address
3842 MAIN ST, STRYKERSVILLE, NY 14145-9563
(716) 213-7201
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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